Organization
ONEIL CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY O'NEIL D.C. (PRESIDENT)
(952) 474-1544
Entity
Organization
Contact information
Practice address
2675 W 78TH ST, CHANHASSEN, MN 55317-4502
(952) 474-1544
Mailing address
2675 W 78TH ST, CHANHASSEN, MN 55317-4502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5642
MN
Other
Enumeration date
03/22/2012
Last updated
04/18/2012
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